Dr Srisatish Devapatla, MD, FAAP | |
101 Dates Dr, Ithaca, NY 14850-1342 | |
(607) 274-4496 | |
(607) 274-4232 |
Full Name | Dr Srisatish Devapatla |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 101 Dates Dr, Ithaca, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164568176 | NPI | - | NPPES |
001544 | Medicaid | NY | |
06000001544 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 001544 (New York) | Primary |
Entity Name | Nhcs Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215336870 PECOS PAC ID: 7719209154 Enrollment ID: O20141215000093 |
Mailing Address | Practice Location Address |
---|---|
Dr Srisatish Devapatla, MD, FAAP 605 Cayuga Heights Rd, Ithaca, NY 14850-1423 Ph: (607) 319-4320 | Dr Srisatish Devapatla, MD, FAAP 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (607) 274-4496 |
John Andrew Bradshaw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188 Fax: 607-266-7341 | |
Dr. Ramesh Vidavalur, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4585 | |
Oyinade Akinyede, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188 | |
Dhruti Naik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850 Phone: 607-257-5858 Fax: 607-257-1718 | |
Andrea G Torrado, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188 Fax: 607-266-7341 | |
Audrey H Desilva, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188 Fax: 607-266-7341 |